Active NPI
Martha Mehdipour
- Electroneurodiagnostic Specialist/Technologist
- Brentwood, TN
National Provider Identifier
1184091423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 214 Centerview Dr
Suie 100
Brentwood, TN 37027-5274 - Phone
- (615) 345-5400
- NPI assigned
- Aug 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
214 Centerview Dr
Suie 100
Brentwood, TN 37027-5274
Mailing address
214 Centerview Dr
Suie 100
Brentwood, TN 37027-5274
Other practice location 1
4199 Flat Rock Dr Ste 100
Riverside, CA 92505-7116
Phone (951) 441-3553
Other practice location 2
12810 Heacock St Ste B202
Moreno Valley, CA 92553-2873
Phone (951) 247-6542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Christian Counseling Foundation, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Moreno Valley, CA
- NPI 1538491246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1184091423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 CENTERVIEW DR",
"address_2": "SUIE 100",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 CENTERVIEW DR",
"address_2": "SUIE 100",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275274",
"telephone_number": "615-345-5400"
}
],
"practiceLocations": [
{
"address_1": "4199 Flat Rock Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925057116",
"country_code": "US",
"telephone_number": "951-441-3553",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12810 Heacock St Ste B202",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925532873",
"country_code": "US",
"telephone_number": "951-247-6542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHDIPOUR",
"first_name": "MARTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-21",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.